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Patient Education and Marketing
Published in Jeffrey A Sherman, Oral Radiosurgery, 2020
Patient education and doctor-patient communication are essential to the establishment of a successful dental practice. An informed patient will appreciate the advantages of radiosurgery over traditional surgery. One suggestion is to create a patient newsletter (Figure 9.2). In addition, an album of preoperative and postoperative photographs of radiosurgical uses for crown lengthening, bonding, and cosmetics can be placed in the reception area with a sign explaining the advantages of radiosurgery. An article written to a community newspaper or a press release to local radio and television stations can also inform patients and the public about the advantages of radiosurgery.
Whitening, Therapeutic Esthetics, and Oral Health Improvement
Published in Linda Greenwall, Tooth Whitening Techniques, 2017
Those with special needsThose at high risk for tooth decayPatients with dry mouthElderly patients (Kelleher et al. 2011)Chemotherapy patientsPatients undergoing radiation therapyPatients with gingival and periodontal conditionsPatients whose teeth have white spots (see Figure 24.3)Patients who are immunocompromisedPatients with eating disorders or acid refluxPeri-implantitis patients (see Figure 24.4)Post–periodontal surgery patients (e.g., crown lengthening, pocket reduction surgery).
Cosmetic Dentistry
Published in M. Sandra Wood, Internet Guide to Cosmetic Surgery for Women, 2013
You can find this site via Aetna InteliHealth (listed earlier in this chapter), or go directly to the Simple Steps Web site. This site is jointly sponsored by Aetna and the University of Pennsylvania School of Dental Medicine. From this main page, select “Cosmetic Dentistry” (listed under “General Topics”), and then link to a variety of cosmetic dentistry topics—whitening, bonding, crown lengthening, veneers, recontouring, inlays, general information, and more. Transcripts are available from some of the chat sessions held at this site. Also of interest from “General Topics” are “Orthodontics” and “Periodontics.”
Sex-specific reference values for the crown heights of permanent anterior teeth and canines for assessing tooth wear
Published in Acta Odontologica Scandinavica, 2023
Paula Roca-Obis, Ona Rius-Bonet, Carla Zamora-Olave, Eva Willaert, Jordi Martinez-Gomis
Combining the reference values and measurement technique described in this study could improve the validity of the clinical crown height diagnostic module in an updated version of the TWES. Interestingly, version 2.0 of the TWES was recently published and did not upgrade this quantification module and considered it optional in the assessment of tooth wear status, probably due to the lack of recent studies on this topic [37]. A suggestion that could complement this module in the TWES protocol might be to perform screening by measuring the crown height of only one maxillary central incisor and/or a mandibular canine, with a positive result prompting the clinician to measure other teeth and conduct a more comprehensive clinical evaluation of tooth wear [4]. Future research using an appropriate design could validate this screening approach. Moreover, the mean reference values in this study could be used, together with other clinical data, to determine the final position of the gingival margin in aesthetic crown lengthening and prosthodontic rehabilitation.
Abnormal expression of long noncoding RNA FGD5-AS1 affects the development of periodontitis through regulating miR-142-3p/SOCS6/NF-κB pathway
Published in Artificial Cells, Nanomedicine, and Biotechnology, 2019
Hong Chen, Zedong Lan, Qiaomei Li, Yuehong Li
Totally, 26 individuals suffered from CP and 20 healthy controls from April 2016 to December 2018 were chosen as subjects in this study. Gingival tissues from cases who were suffered from CP were collected surgically, followed by an original ineffectual nonsurgical scaling and root planning in accordance with the established professional and required oral hygiene of patients. Gingival tissues were also obtained while crown-lengthening routines from healthy individuals with following inclusion criteria: clinical attachment loss < 4 mm, probing depth (PD) < 4 mm, and no alveolar bone destruction at radiographic level. All collected gingival tissue samples were frozen in liquid nitrogen and then stored immediately at –80 °C for further experiments. Exclusion criteria included patients with smoking, rheumatoid arthritis, the appearance of any systemic disease, for instance, allergy type 1 and 2 diabetes, and uptake of drugs containing corticosteroids, and antibiotics within 1 month before the surgery. This study obtained the approval of the local ethics committee, and written consent was acquired from all enrolled individuals.
Preserved critical ability and free will in deep hypnosis during oral surgery
Published in American Journal of Clinical Hypnosis, 2021
Enrico Facco, Christian Bacci, Edoardo Casiglia, Gastone Zanette
The patient, a 42-year-old female, underwent surgery involving the fashioning of a periodontal flap, open debridement, and crown lengthening of the left inferior first molar. At the preoperative anesthesiological visit, she reported previous allergic reactions to latex and lidocaine. The Corah’s Dental Anxiety Scale was used to check her fear of the dentist. This scale is made of four questions related to the dental scenario (how one feels: 1 – on the day before the intervention; 2 – when waiting in the attending room; 3 – when sitting on the dental chair while the dentist gets his drill ready; 4 – when being about to have teeth cleaned, by scraping the teeth around the gums). The subject’s choices are scored in a range from 1 to 5 reflecting an increasing level of anxiety and the total score – made up of the sum of all subject’s choices – defines the overall level of dental anxiety; its range is 4–20, where scores above 12 indicate a high level of anxiety, and scores of 17–20 indicate dental phobia (Corah, Gale, & Illig, 1978; Facco et al., 2013; Facco, Zanette, & Manani, 2008). The patient scored 16, corresponding to a phobic level of anxiety. Conscious sedation according to the Manani protocol was proposed (Manani et al., 2005; Manani, Bacci, Zanette & Facco, 2012), including presedation with oral delorazepam at a dose of 2 mg plus conscious sedation with iv. titrated doses of diazepam. The patient refused this approach due to a previous paradoxical reaction to iv. sedation. She was referred to the allergist to test her tolerance for local anesthetics other than lidocaine, and mepivacaine was found to be well tolerated.